title: Living donor paired-kidney exchange transplantation: A single institution experience.
abstract: BACKGROUND
  Paired-kidney exchange (PKE) is used in western countries to increase donor pool. In India, there are not many centers involved in PKE program. We present 10 years of this experience and outcome of the recipients.
  
  
  METHODS
  Between year 2000 and 2009, 34 transplants with PKE were performed. All donors were live related, and permission from Authorization committee(s) from one or more states was obtained prior to transplantation. Both donor and recipient surgeries were carried out simultaneously in all cases at a single institution. Last 10 donors were offered laparoscopic donor nephrectomy and all other previous donors were operated by open surgery.
  
  
  RESULTS
  Five donor-recipient pairs were from the state of Rajasthan, one from Madhya Pradesh, and all others from Gujarat. ABO incompatibility between donor and recipient was present in 12 pairs and positive lymphocyte cross-match in 5 pairs.
  
  
  CONCLUSIONS
  Paired-kidney-exchange transplantation expands donor pool and total number of transplantation.
authors.affiliation: Departments of Urology and Transplantation Surgery, G. R. Doshi and K. M. Mehta Institute of Kidney Diseases and Research Centre, Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, India.
authors.forename: Pranjal
authors.initials: P
authors.lastname: Modi
authors.forename: S J
authors.initials: SJ
authors.lastname: Rizvi
authors.forename: Bipinchandra
authors.initials: B
authors.lastname: Pal
authors.forename: Raghuvir
authors.initials: R
authors.lastname: Baradwaj
authors.forename: Sandeep
authors.initials: S
authors.lastname: Gupta
authors.forename: Veena
authors.initials: V
authors.lastname: Shah
authors.forename: Manisha
authors.initials: M
authors.lastname: Modi
authors.forename: Pankaj
authors.initials: P
authors.lastname: Shah
authors.forename: Hargovind
authors.initials: H
authors.lastname: Trivedi